Economic growth in Vietnam in the last few years has brought about an increasing demand for energy and has had a severe environmental impact. Fish processing is one of the fastest-growing industries that discharge organically-polluted wastewater. To counter these environmental problems, new technologies for energy-efficient treatment are needed. By coupling innovative nitrogen removal systems with anaerobic treatment processes, it is possible to realise such technologies. In the present project, a combined deammonification and anaerobic carbon removal system is presented. Special requirements to enable reliable treatment are discussed, taking industrial wastewater characteristics into consideration. To evaluate energetic efficiency, energy balance calculations based on data from a fish-processing factory are made. The determined specific energy consumption and production rates show that energy recovery is possible, even when COD and nitrogen removal efficiencies of over 90% are achieved. Depending on the pre-treatment employed, energy recovery rates ranging from 0.6 to 2.5 kWh/mt raw fish can be reached.